Health Information Clerk

Duties

• Treat medical records with confidentiality.
• Retrieves and files charts and other information as directed.
• Affords assistance with scheduling and outside physician visits/appointments and consultations; arranges transportation as needed; and notifies appropriate individuals of the dates and times.
• Prepares consult packages as needed.
• Switchboard relief, as needed.
• Scans and uploads various medication information into the electronic medical record system (physician consults, documentation, etc).
• Provides clerical support as needed to the Health Information Management Department.
• Faxes lab slips to the laboratory, assists with Laboratory ordering follow-up as needed, ICD 10 coding related to the labs, ensures receipt and upload of labs received.
• Affords assistance in compiling information for correspondence / release of information requests (ie insurance audits, requests, etc).
• Maintains HealtheConnections releases within the electronic medical record and the RHIO.
• Provides reports and information to the Health Information Management Director as requested.
• Affords assistance in gathering daily, monthly and annual census reports and compiling statistics from this data as requested.
• Attends in-service meetings.
• Data entry and retrieval for facility QAPI program as needed.
• Affords assistance in department QA monitoring as needed.
• Maintains MOLSTs books on the nursing units.
• Affords assistance in scheduling inside physician appointments (dental, eye doctor, etc.).
• Performs routine rounds to the nursing units to collect Pharmacy data to be faxed, pharmacy delivery sheets, Narcotic Count sheets, Health Information Management request for services requisitions, etc.
• Fax necessary information to the pharmacy as needed.
• Maintains correspondence log.
• Affords assistance in compiling, organizing the shredding of medical information as necessary.
• Affords assistance in ICD 10 coding medical diagnosis as needed.
• Affords assistance in providing components of the clinical record for new admission as necessary.
• Notifies pharmacy of charge of resident status as necessary.
• Affords assistance in stocking nursing unit with blank forms as necessary.
• Affords assistance in maintaining resident overflow files located in the department and on the nursing units, as necessary.
• Makes entries as directed in the medical record, as needed.
• Other related duties that may become necessary or as directed by a supervisor, department head and/or administration.

Qualifications

• High School graduate
• Medical Secretarial course
• Experience in Health Information procedures preferred
• Working knowledge of medical terminology and IDC-10 cm coding preferred
• Computer knowledge, especially of word processing and spreadsheets
• Understand and follow oral and written directions
• Write legibly
• Work independently with minimal supervision
• Be in good physical condition
• Be organized, use time efficiently and be able to keep up with demands
• Accuracy in performance of duties
• Care and use of supplies and equipment
• Contact with public demands good grooming, cooperation, understanding and patience
• Integrity and ability to keep records and information confidential
• Pleasant, cheerful, team player, cooperates with others and tactful.
• Dresses appropriately for the position.